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Late pregnancy discharge

 
, medical expert
Last reviewed: 04.07.2025
 
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Discharge in late pregnancy is a serious cause for concern for many women who are expecting a baby.

Let's analyze what they are associated with, how to treat and prevent them.

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Causes of discharge in late pregnancy

Discharge in late pregnancy may be a sign of placental abruption, which requires an emergency cesarean section. In this case, doctors always try to save the child, but if they have a choice of whom to save, unfortunately, they have to sacrifice his life... In the early stages of placental abruption, it is enough to exclude physical and emotional overstrain.

Another reason is cervical erosion. And just before labor, brownish discharge indicates that labor is approaching - this is the plug coming off, which protected the cervix throughout the pregnancy.

Also, bloody discharge in late pregnancy occurs with a ruptured uterus. It happens if pregnancy occurs immediately after a cesarean section or abortion. Massive bleeding may develop, and the uterus will have to be removed. If the fetus is not viable, it will die. In the case of a ruptured uterus, there is a very serious threat to the mother's life, all actions must be taken without delay.

Greenish discharge is most likely thrush. You can't allow thrush right before giving birth, as you will not only infect the baby, but also provide yourself with tears. Sometimes sexually transmitted infections become the reason that they decide to do a cesarean section already in the maternity hospital.

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Symptoms of Discharge in Late Pregnancy

Discharge in late pregnancy can have different colors, smells, and consistencies. They are not always bloody. White, cheesy discharge should cause alarm - this is what happens with thrush. Bright red discharge is a sign of placental abruption. Transparent with an unpleasant odor is a sign of bacterial vaginosis. This is a condition of vaginal microflora imbalance. Lactobacilli produce hydrogen peroxide. It acts as an antiseptic against streptococci, E. coli, and other harmful bacteria that threaten to get inside the uterus. With a deficiency of lactobacilli, a large number of opportunistic flora is found. This is bacterial vaginosis. Its cause is douching, the use of condoms (some types), and a change of sexual partner.

Stabbing or cutting pains in the lower abdomen at any stage of pregnancy are a signal to call an ambulance immediately!

Brown discharge in late pregnancy

Brown discharge in late pregnancy may indicate a threat of miscarriage. You may also be hospitalized for preservation.

Cervical erosion may also be a possible cause.

As the uterus enlarges, small blood vessels in the placenta may burst and cause minor bleeding.

Any brown discharge contains red blood cells, which means traces of blood. If in the early stages brown discharge is one of the signs of an ectopic pregnancy, then in the later stages the causes are different. For example, placenta previa, i.e. its abnormal location, or placental abruption - this has already been discussed above.

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Diagnosis of discharge in late pregnancy

You can see discharge on your underwear in the late stages of pregnancy. White discharge is leucorrhoea. It occurs with cervical erosion, as well as brown discharge, thrush and STIs.

Grayish discharge with an unpleasant odor is a concern in cases of sexually transmitted diseases.

The amount of discharge just before the birth may increase so much that you will be forced to use sanitary pads. Transparent discharge that does not cause itching should not bother you. This is prenatal discharge, which three days or a week before the birth may be replaced by brown mucus.

Bright red discharge requires immediate hospitalization. It, like brown discharge not just before labor, is due to placental abruption.

Green discharge with severe itching and an unpleasant odor is a sign of a gynecological infection, which is very important to treat before delivery. This way you will not infect your baby.

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Who to contact?

Treatment of discharge in late pregnancy

Yellowish, profuse discharge in late pregnancy with severe itching is thrush. It has a very sharp sour smell. Thrush during pregnancy is a frequent "guest" due to the decrease in immunity that occurs in the body of every pregnant woman. Wear only natural underwear - the fungus does not multiply so much on it. Diseases of the circulatory system and poor functioning of the sex glands, leading to hormonal imbalance - are also causes of thrush. Thrush also worsens when taking antibiotics. In general, they are prescribed to pregnant women only in extreme cases, but sometimes it is still necessary, with particularly aggressive infections. The cause of exacerbation of vaginal candidiasis (as doctors correctly call thrush) can be vitamin deficiency or vaginal dysbacteriosis. Improper functioning of the stomach and intestines is also a cause of thrush.

The problem of treating thrush during pregnancy is quite serious, because most medications against it are prohibited for pregnant women. Therefore, it is necessary to use mainly folk remedies: do rinsing with oak bark tincture, calendula baths, douching with a soda solution with a few drops of iodine (1 tablespoon of soda and half a teaspoon of iodine per 1 liter of water). All this should be done for 4-5 days.

Sometimes discharge is caused by unsuitable panty liners. It is enough to change scented pads to unscented ones – and the problem will disappear.

The most dangerous are bloody discharges - a symptom of premature labor. In this case, the woman is put on bed rest to stop the onset of labor. Most often, it is possible to hold back placental abruption. Inpatient care means constant medical supervision, which cannot be organized at home.

Doctors are especially alarmed by the increased tone of the uterus, which many women with alarming symptoms experience. To prevent it, they prescribe no-shpa and magnesium.

No-shpa is a well-known antispasmodic. Its maximum content in the blood is reached within an hour. It is completely excreted within 84 hours by the kidneys and gastrointestinal tract. No-shpa is contraindicated in hypersensitivity reactions to drotaverine, the active substance of the drug, severe liver, kidney failure, heart failure. Side effects: tachycardia, dizziness, constipation. Intramuscularly and intravenously, 40-240 mg / day is administered slowly or No-shpa is taken in tablets. The daily dose is divided into 2-3 administrations (administrations). Duration of treatment is 2-4 days.

Magnesium sulfate (magnesia) is a solution with a bitter-salty taste, soluble in water and evaporating in the air. It has anticonvulsant, hypotensive and sedative effects. The active substance of the drug is magnesium sulfate.

Magnesium in the body is the physiological antipode of calcium. It regulates metabolic processes and muscle excitability. Magnesium deficiency leads to heart rhythm disturbances. Magnesia is useful for women with cardiovascular pathology during pregnancy. Lowers blood pressure. Has an analgesic effect. It is used in case of eclapsia of pregnant women. Contraindicated in case of severe renal failure. Side effects: bradycardia, decreased blood pressure, flushing of the face, respiratory depression, anxiety, weakness, vomiting, nausea, increased fatigue, confusion, convulsions. In case of overdose, calcium preparations are administered, hemodialysis is used. 5-20 ml of 20-25% solution is administered intramuscularly or intravenously daily 1-2 times a day.

Prevention of discharge in late pregnancy

Discharge in late pregnancy can be prevented by identifying and treating infectious diseases in the mother before pregnancy, eating right throughout pregnancy, not smoking or drinking even small amounts of alcohol. Take vitamins for pregnant women in the cold season. Avoid stress and quarrels. If you have a habitual miscarriage, or have had difficult pregnancies in the past, it is better to find a good doctor in advance.

Discharge in late pregnancy is a problem that almost every fourth pregnant woman faces, but with timely diagnosis, the pregnancy can be saved.

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